| NPI | 1942755855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MONTALVO Office Manager 201-820-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ YA00079700) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG00125100) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |